CMS Price Transparency Data

Blood test, liver function panel

Facility: Texas Health Hospital Mansfield

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $165
  • Cash Discount Price: $338
  • vs. Medicare Baseline: 20.20x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Texas Health Hospital Mansfield is $165. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $338. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 20.20x the Medicare baseline. Located in 2300 Lone Star Road, Mansfield, TX.
Cash / Self-Pay
$338

Average discount available for prompt cash payment at this facility.

Insurance Median
$165

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.17 (100%)
Cash / Self-Pay: $338 (4137%)
Insurance Median: $165 (2020%)
Cash: $338 (4137% of Medicare)
Ins. Median: $165 (2020% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.17 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2020% of the Medicare baseline (a markup of 1920%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Cigna $32 - $915 392%
United_Healthcare $33 - $942 404%
Aetna $35 428%
Blue_Cross_Blue_Shield_Of_Kansas $78 - $227 955%
Amerigroup $897 10979%
Blue_Cross_Blue_Shield $942 11530%
Molina $942 11530%
Wellcare $987 12081%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2300 Lone Star Road, Mansfield, TX 76063
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals